medicaid management information system contact number

The following states reported the measure to CMS, but did not use Adult Core Set specifications to calculate the measure: NJ, NY, OH, PA, and TX. The measurement period for this measure was January 2019to December 2019. Unless otherwise specified: Inpatient hospital admissions for these complications can be an indicator that diabetes is not being properly prevented or managed. Note: NPI Application/Update forms received via email and/or fax will not be processed. Participants onthe Home Care for Certain Disabled Children Program (Katie Beckett) andMedicare-Medicaid Coordinated Plan participants are not eligible for thesebenefits. Some states reported exclusions from the denominator, as noted in the state-specific comments. All users who use CMS Identity and Access Management System (I&A) to log into their applications, this includes I&A, NPPES, PECOS, and HITECH, will need to set up an option for MFA. Denominators are assumed to be the measure-eligible population for states using the administrative method. An oral health assessment (at ages 3 and 6) States used Adult Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2020 specifications. For example, a state may include beneficiaries who are enrolled in managed care, but exclude beneficiaries who are covered on a fee-for-service (FFS) basis. For example, a state may include beneficiaries who are enrolled in managed care, but exclude beneficiaries who are covered on a fee-for-service (FFS) basis. Read the TMHP bulletin issued on August 9, 2022. This may be different in a prescribing or referring scenario for Medicare. Denominators are assumed to be the measure-eligible population for states using the administrative method. Beginning September 1, 2021, MCOs must offer service coordination visits in person when requested by the member receiving services. Notes: A .gov website belongs to an official government organization in the United States. Each user should only control and access their own I&A account. An official website of the United States government If you have been referred for medical care outside your community, MTM may ask for a referral from your doctor before they will schedule your transportation. Unless otherwise specified, the administrative data source is the states Medicaid Management Information System (MMIS) and/or data submitted by managed care plans, including behavioral health plans. For example, some states include populations in certain programs, such as beneficiaries covered by Medicaid, but exclude beneficiaries in other programs, such as those dually eligible for Medicare and Medicaid. Some states reported exclusions from the denominator, as noted in the state-specific comments. The hybrid method uses a combination of administrative and medical records data to identify services included in the numerator or to determine exclusions from the denominator based on diagnoses or other criteria. National Core Indicators (NCI) In-Person Survey How do I deactivate my active NPI record? Transitional care management services with a mental health provider These data show performance rates for states that voluntarily reported the measure using Child Core Set measure specifications. The following states did not report data to the Centers for Medicare & Medicaid Services (CMS) for this measure: AK, AL, AR, AZ, CO, IL, KY, ME, MI, MN, MO, MT, NC, NE, NY, OK, PR, SC, SD, TX, and WY. NPI has been deactivated successfully message will be displayed. You may call (202) 727-5355 to locate your nearest IMA Service Center. The purple dashed line represents the median, or middle, of all values reported. An SSN should not be entered in the EIN field. Excessive visits to the ED can result in overcrowding and increased ED wait times. CMS did not include the rate for thisstate. The Division of Medical Services handles the day-to-day management of the Arkansas Medicaid program, ensuring providers get paid and clients get medically necessary services. Read the TMHP bulletin issued on October 15, 2021. Learn More. Electroconvulsive therapy with a mental health provider Accreditation Level: Accredited, MCNA Insurance CompanyProgram: Dental PlanAccreditation Status: Full AccreditationAccredited (12/01/2020-12/01/2023)Accrediting Entity: Utilization Review Accreditation Commission (URAC) An ongoing collection must be approved by OMB at least once every three years. Does the MFA email need to be the same as the email listed on the users I&A account? Other parts will end when the COVID-19 Public Health Emergency ends. HHSC is allowing remote delivery of certain components of medical checkups for children over 24 months of age (i.e., starting after the 24 month checkup). If you are a new I&A user, you will be prompted to setup your MFA method(s) as you set up your account. Multi-Factor Authentication (MFA) combines two or more independent credentials: what the user knows (password), what the user has (security token) or what the user is (biometric verification) to verify a user. Unless otherwise specified, the administrative data source is the states Medicaid Management Information System (MMIS) and/or data submitted by managed care plans, including behavioral health plans. Notes: These data reflect a range of indicators related to key application, eligibility, and enrollment processes within the state Medicaid and CHIP agency. Uncontrolled asthma among children can result in: For more information on the Immunizations for Adolescents (IMA-CH) measure, visit Child Health Care Quality Measures. Rates are not comparable with rates reported for previous years. Unless otherwise specified: For example, some states report a single combined rate for both the Medicaid and CHIP populations, but other states report separate rates for these populations. For more information on the Postpartum Care (PPC-AD) measure, visitAdult Health Care Quality Measures. Due to the COVID-19 public health emergency, states paused administering the NCI-AD survey during the 2020-2021 reporting cycle. For more information on the Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 (FUH-CH) measure, visit Child Health Care Quality Measures. You will not be able to create an account in I&A if MFA setup is not completed. Effective for dates of service on or after August 31, 2022, in accordance with the U.S. Food and Drug Administrations emergency use authorization, COVID-19 vaccine administration codes 0124A and 0134A are benefits of Medicaid, Healthy Texas Women (HTW), the Family Planning Program (FPP), and the Children with Special Health Care Needs (CSHCN) Services Program. Fee-for-service Medicaid 1915(c) waiver case managers and service coordinators for Community Living Assistance and Support Services (CLASS), Texas Home Living (TxHmL), Deaf-Blind with Multiple Disabilities (DBMD) and Home and Community-based Services (HCS), Community First Choice service coordinators, Preadmission Screening and Resident Review (PASRR) habilitation coordinators. This measure reports state performance on the percentage of adults ages 18 to 75 with Type 1 or Type 2 diabetes who had HbA1c in poor control (>9.0%) during the measurement year. It is a new system your caregiver or home health attendant may use to document the services you receive. Effective immediately MCOs may to conduct initial MDCP and STAR+PLUS HCBS waiver assessments in person when requested by the member. States used Child Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2020specifications. Unless otherwise specified: ACO = Accountable Care Organization; ADHD = Attention-Deficit/Hyperactivity Disorder; CCO = Coordinated Care Organization; CHIP = Childrens Health Insurance Program; CMS = Centers for Medicare & Medicaid Services; CPT = Current Procedural Terminology; CY = Calendar Year; ED = Emergency Department; EPSDT = Early and Periodic Screening, Diagnostic, and Treatment; EQRO = External Quality Review Organization; FFS = Fee for Service; FFY = Federal Fiscal Year; HCBS = Home- and Community-Based Services; HEDIS = Healthcare Effectiveness Data and Information Set; HMO = Health Maintenance Organization; ICD = International Classification of Diseases; LOINC = Logical Observation Identifiers Names and Codes; MACPro = Medicaid and CHIP Program System; MCO = Managed Care Organization; MMIS = Medicaid Management Information System; NCQA = National Committee for Quality Assurance; NR = Not Reported; PCCM = Primary Care Case Management; PCP = Primary Care Practitioner. Coordinate discharge planning for members transitioning from hospitals. Early detection via mammography screening and subsequent treatment can reduce breast cancer mortality for women in this age range. What if I no longer have the phone or email that I have set up to use as my MFA? The term states includes the 50 states, the District of Columbia, and Puerto Rico. For international users, please add email as your MFA method. ACO = Accountable Care Organization; ADHD = Attention-Deficit/Hyperactivity Disorder; CCO = Coordinated Care Organization; CHIP = Childrens Health Insurance Program; CMS = Centers for Medicare & Medicaid Services; CPT = Current Procedural Terminology; CY = Calendar Year; ED = Emergency Department; EPSDT = Early and Periodic Screening, Diagnostic, and Treatment; EQRO = External Quality Review Organization; FFS = Fee for Service; FFY = Federal Fiscal Year; HCBS = Home- and Community-Based Services; HEDIS = Healthcare Effectiveness Data and Information Set; HMO = Health Maintenance Organization; ICD = International Classification of Diseases; LOINC = Logical Observation Identifiers Names and Codes; MACPro = Medicaid and CHIP Program System; MCO = Managed Care Organization; MMIS = Medicaid Management Information System; NCQA = National Committee for Quality Assurance; NR = Not Reported; PCCM = Primary Care Case Management; PCP = Primary Care Practitioner. Conduct joint meetings with Local Intellectual and Developmental Disability Authorities (LIDDAs), Case Management Agencies and Direct Service Agencies. Find non-emergency medical transportation for Medicaid participants. ACO = Accountable Care Organization; ADHD = Attention-Deficit/Hyperactivity Disorder; CCO = Coordinated Care Organization; CHIP = Childrens Health Insurance Program; CMS = Centers for Medicare & Medicaid Services; CPT = Current Procedural Terminology; CY = Calendar Year; ED = Emergency Department; EPSDT = Early and Periodic Screening, Diagnostic, and Treatment; EQRO = External Quality Review Organization; FFS = Fee for Service; FFY = Federal Fiscal Year; HCBS = Home- and Community-Based Services; HEDIS = Healthcare Effectiveness Data and Information Set; HMO = Health Maintenance Organization; ICD = International Classification of Diseases; LOINC = Logical Observation Identifiers Names and Codes; MACPro = Medicaid and CHIP Program System; MCO = Managed Care Organization; MMIS = Medicaid Management Information System; NCQA = National Committee for Quality Assurance; NR = Not Reported; PCCM = Primary Care Case Management; PCP = Primary Care Practitioner. SSA (Social Security Administration) DECEASED NOTIFICATION, Identifying Information- Organization- EIN, Making Changes with a Paper Application/Update Form. These data show performance rates for states that voluntarily reported the measure using Adult Core Set measure specifications. Unless otherwise specified, the administrative data source is the states Medicaid Management Information System (MMIS) and/or data submitted by managed care plans, including behavioral health plans. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. On May 17, 2022, the FDA amended the Emergency Use Authorization for the Pfizer-BioNTech COVID-19 vaccine single booster dose for individuals 5 years through 11 years of age at least 5 months after completion of the primary series with the Pfizer-BioNTech COVID-19 vaccine. This measure reports state performance on the percentage of discharges among children ages 6 to 17 who were hospitalized for treatment of selected mental illness or intentional self-harmdiagnoses and who had a follow-up visit with a mental health provider within (1) 7 days and (2) 30 days after discharge. Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports for the Adult Core Set Federal Fiscal Year (FFY) 2020 reporting cycle as of June 18, 2021; see 2020 Child and Adult Health Care Quality Measures. States can also choose to calculate this measure using the administrative or hybrid method. This measure reports state performance on the percentage of adults age 18 and older who received prescriptions for opioids with an average daily dosage greater than or equal to 90 morphine milligram equivalents (MME) for 90 days or more during the measurement year. Breast cancer causes approximately 42,000 deaths in the United States each year. You may apply for Medicaid for low-income families and children under 19 and pregnant women at your Income Maintenance Administration (IMA) Service Center. Community mental health center visitswith a mental health provider For SMS (Text) or Voice call, the code will be valid for 5 minutes. Upon receiving the code from the MFA services the user will enter the code in I&A to verify the account. Surveys included in the count are: Medicaid and CHIP will cover COVID-19 testing for Medicaid and CHIP clients. Participantsinterested in the program should visit their primary care provider (PCP). Share sensitive information only on official, secure websites. Please be aware that there are privacy guidelines that govern to whom the NPI Enumerator can disclose information. The included populations for Adult Core Set measures can vary by state. Information and personal contact information willbe securely transmitted directly to MTM and will be kept confidential to theextent required by HIPAA. States voluntarily report on Ambulatory Care: Emergency Department Visits (AMB-CH) as part of the Core Set of Children's Health Care Quality Measures. Some states reported exclusions from the denominator, as noted in the state-specific comments. Secure .gov websites use HTTPS Number of days members, legally authorized representatives or authorized representatives have to request a fair hearing. Text Text your enrollment or frequently asked questions to 357662. Read the TMHP bulletin issued on July 28, 2022. Official websites use .gov States used Adult Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2020 specifications. Some states reported exclusions from the denominator, as noted in the state-specific comments. The hybrid method uses a combination of administrative and medical records data to identify services included in the numerator or to determine exclusions from the denominator based on diagnoses or other criteria. These sessions are to share information with stakeholders about the implementation of various Medicaid/CHIP flexibilities in response to the COVID-19 pandemic. The hybrid method uses a combination of administrative and medical records data to identify services included in the numerator or to determine exclusions from the denominator based on diagnoses or other criteria. The Child Core Set specifications include guidance for calculating this measure using the administrative method or the hybrid method. Texas Health & Human Services Commission. Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports for the Adult Core Set Federal Fiscal Year (FFY) 2020reporting cycleas of June18, 2021; see2020ChildandAdult Health Care Quality Measures. It is a single source of truth that unifies Medicaid and CHIP data and provides a centralized system for performing analysis. The term states includes the 50 states, the District of Columbia, and Puerto Rico. Participantsmust have full Basic or Enhanced Medicaid coverage to qualify. A .gov website belongs to an official government organization in the United States. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Updates can be made by mailing a Paper Application/Update Form available for download by accessing https://nppes.cms.hhs.gov or by contacting the NPI Enumerator and requesting one via mail. 2022. Providers should direct STAR+PLUS and MMP members who were discharged from a NF on or after March 18, 2020, currently do not reside in a NF, and still have NF Medicaid to their MCOs for more information about the option to upgrade to STAR+PLUS HCBS. Effective for dates of service on or after August 19, 2022, the age range for COVID-19 vaccine administration codes 0041A and 0042A has changed from 18 years of age or older to 12 years of age or older. Dont miss important renewal information. Explore the rate of ED visits per 1,000 beneficiary months for children and adolescents in each state. OBA mapping of measures/rules can be found on the CMS GitHub repository (. CMS and states support service delivery through a range of settingsfrom institutional care to community-based long-term services and supports. As noted in the sections below, multiple Medicaid and CHIP flexibilities have been extended through November 30, 2022. Some states reported exclusions from the denominator, as noted in the state-specific comments. Must submit the required Paper work to EUS for approval ( SHARS ) are to Expire as the applications authentication expires EXCEPT if the user ID and /or password, follow steps. Quality Alliance 2020specifications telemedicine, telehealth, and the District of Columbia, and not a! Reflect state reporting for Medicaid enrollees ages 18 to 85 ( 17states ) for! Submission errors or data Quality AM are not required to obtain legacy may. 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